License holder summary

Ashley L. Wallace is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Ashley L. Wallace is Crown Point IN 46307-2363. This licensed professional license is not current. The license was granted 05/28/2009 and expired on 07/31/2010.

Indiana

Professional Licensing Agency

Ashley L. Wallace
Radiology Provisional Permit
License number
XP501816
Date granted
05/28/2009
Date expires
07/31/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Crown Point IN 46307-2363
indianalicensing.org
ID 8489979
LAST UPDATED 2024-03-05 14:45:29 UTC

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